Garden Reservation Form

To reserve the Garden, please print this page and fill it out completely: (date rec'd__________________)

Contact Name #1 :__________________________________________________phone:_______________________

Contact Name #2 :_________________________________________________phone:_______________________

Address:_____________________________________________________________________________________________

City:_____________________________________ State:__________________ Zip:________________________________

I have reviewed and agree to all of the items and terms in the GBG Reservation Contract. I understand I will be charged the violation fee if any requirements are not met.

_________________________________________________________________________________________________
signature

Cost: (check all that apply) make checks out to the Georgeson Botancal Garden or completely fill out credit card information.

______$500 refundable contract violation (damage/cleaning/parking/times) deposit (Seperate check dated for the day of your event)
PLUS
______$375 for any event (includes the garden, visitor center classroom, and Rotary Pavilion) 9am-8pm, Sat or Sun
______$50 for lunch event at the Rotary Pavillion, 11:30am-1:30 pm, M thru F only
______$150 for evening event at the Rotary Pavillion, 5:00 pm-8pm, M thru F only

Type of event:______________________________Date of event:_______________ Time of event:__________________

Violation Deposit Check enclosed:________________ Use Fee Check enclosed:_________________

Credit card information:

Type of card: Visa________ Master card_________ expiration date:______________________

Credit card #__________________________________________ 3 digit extension: _____________

Signature for card: ________________________________________

Print name on card: ___________________________________

Amount authorized on credit card: Violation Deposit: ______________ Use Fee: __________________

dates taken in 2008: June 28, June 29, July 4(noon), July 5, July 8, July 11 (evening), July 12, July 14-16 (noon), July 16 (evening), July 17 (evening), July 19, July 20, July 26, Aug 2, Aug 9, Aug 23